Individual provider Active NPI

Michael David Webb, M.D.

  • Psychiatry Physician
  • Eugene, OR
National Provider Identifier
1154451318
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
15717 Issued in OR
Practice address
3225 Willamette St Ste 2
Eugene, OR 97405-3309
Phone
(541) 344-3423
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 15717 OR Primary

Addresses

Primary practice location

3225 Willamette St Ste 2
Eugene, OR 97405-3309

Mailing address

3225 Willamette St Ste 2
Eugene, OR 97405-3309
Phone (541) 344-3423

Other identifiers 6

IdentifierTypeStateIssuer
167874OtherORMHN
201079MedicaidOR
J3064-03OtherORPACIFICSOURCE
931130894-03OtherORPROVIDENCE INSURANCE
8000894OtherORHMOO
ORW916DOtherORODS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100505000205 OR Practitioner - Psychiatry 5395873863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical School at San Antonio, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3225 Willamette St
Suite 2
Eugene, OR 97405-3309
Phone (541) 686-7313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15717ORMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry Associates of Eugene, PC Psychiatry CurrentSince Sep 15, 1994 Accepting new patients
Lane County Oregon Past Accepting new patients

Locations

3225 Willamette St
Ste 2
Eugene, OR 97405
Phone (541) 344-3423

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1154451318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 WILLAMETTE ST STE 2",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053309",
            "telephone_number": "541-344-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 WILLAMETTE ST STE 2",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053309",
            "telephone_number": "541-344-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "15717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "167874",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201079",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICSOURCE",
            "identifier": "J3064-03",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDENCE INSURANCE",
            "identifier": "931130894-03",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMOO",
            "identifier": "8000894",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODS",
            "identifier": "ORW916D",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.